Active NPI
Dipika Misra, M.D.
- Medical Oncology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 2010-01065
- Practice address
- 125 Queens Rd Ste 520
Charlotte, NC 28204-3215 - Phone
- (980) 302-6500
- Fax
- (980) 302-6505
- NPI assigned
- Oct 10, 2006
- Last updated
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 239679 | NY | |
| Hematology & Oncology Physician | 207RH0003X | 239679 | NY | |
| Hematology & Oncology Physician | 207RH0003X | 2010-01065 | NC | |
| Medical Oncology Physician | 207RX0202X | 2010-01065 | NC | Primary |
Addresses
Primary practice location
125 Queens Rd Ste 520
Charlotte, NC 28204-3215
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
2711 Randolph Rd.
Suite 100
Charlotte, NC 28207-2027
Phone (704) 342-1900
Other practice location 2
2711 Randolph Rd.
Suite 100
Charlotte, NC 28207-2027
Phone (704) 342-1900
Other practice location 3
1718 E 4th St Ste 707
Charlotte, NC 28204
Phone (704) 316-4485
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmisra44896@direct.novanthealth.org | ||
| Direct Messaging Address | dmisra44896@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Emory University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Queens Rd
Charlotte, NC 28204-3215
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010-01065 | NC | MD | Hematology & Oncology Physician |
| 239679 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Internal Medicine | Current | Accepting new patients |
| The Presbyterian Hospital | Hematology & Oncology | Current | Accepting new patients |
| The Presbyterian Hospital | Internal Medicine | Current | Accepting new patients |
| Novant Health Medical Group Coastal Region, LLC | Hematology & Oncology | Past | Accepting new patients |
Locations
10905 Providence Rd W
Ste 150
Charlotte, NC 28277
Phone (980) 302-7120
125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (980) 302-6400
125 Queens Rd
Ste 420
Charlotte, NC 28204
Phone (980) 302-6450
125 Queens Rd
Ste 430
Charlotte, NC 28204
Phone (980) 302-6300
125 Queens Rd
Ste 520
Charlotte, NC 28204
Phone (980) 302-6270
125 Queens Rd
Ste 540
Charlotte, NC 28204
Phone (980) 302-6560
125 Queens Rd
Ste 560
Charlotte, NC 28204
Phone (980) 302-6270
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-2670
10030 Gilead Rd
Ste 350
Huntersville, NC 28078
Phone (704) 799-3946
1700 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 841-8151
Interoperability endpoints
- dmisra44896@direct.novanthealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Senior Care
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
dba Novant Health Cancer Institute
- Hematology & Oncology Physician
- Charlotte, NC
- NPI 1174989479
-
dba Novant Health Infusion
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
dba Novant Health Cancer Institute
- Hematology & Oncology Physician
- Carolina Shores, NC
- NPI 1801565684
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Ballantyne Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
dba Novant Health Matthews Medical Center
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
dba Novant Health Mint Hill Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
-
dba Novant Health Huntersville Medical Center
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
dba Presbyterian ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
dba Presbyterian Behavioral Health Unit
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
dba Novant Health Presbyterian Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1891871901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1427146158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 QUEENS RD STE 520",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043215",
"telephone_number": "980-302-6500",
"fax_number": "980-302-6505"
}
],
"practiceLocations": [
{
"address_1": "2711 Randolph Rd.",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072027",
"country_code": "US",
"telephone_number": "704-342-1900",
"fax_number": "704-342-9571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2711 Randolph Rd.",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072027",
"country_code": "US",
"telephone_number": "704-342-1900",
"fax_number": "704-342-9571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 E 4th St Ste 707",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28204",
"country_code": "US",
"telephone_number": "704-316-4485",
"fax_number": "704-316-4490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISRA",
"first_name": "DIPIKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "239679",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "239679",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "2010-01065",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "2010-01065",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmisra44896@direct.novanthealth.org",
"affiliation": "N",
"address_1": "2711 Randolph Rd.",
"address_2": "Suite 100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282072027",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmisra44896@direct.novanthealth.org",
"affiliation": "N",
"address_1": "125 Queens Rd Ste 520",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.